Provider Demographics
NPI:1023903952
Name:PLAYZHERE LLC
Entity type:Organization
Organization Name:PLAYZHERE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:KONE
Authorized Official - Suffix:
Authorized Official - Credentials:CLC, QMHP, CM
Authorized Official - Phone:571-263-7103
Mailing Address - Street 1:10560 MAIN ST STE 211
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7176
Mailing Address - Country:US
Mailing Address - Phone:571-263-7103
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7176
Practice Address - Country:US
Practice Address - Phone:571-263-7103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty